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1457482903
BRENDA WALLACE
ALBUQUERQUE, NM
NPI
1457482903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM 1338)
Enumeration Date
2007-03-08
Last Update Date
2007-07-09
Business Address
-- BRENDA WALLACE SLP
712 GIRARD BLVD NE JEFFERSON MS
ALBUQUERQUE, NM 87106-2714
Phone number: 505-255-2334
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Mailing Address
-- BRENDA WALLACE SLP
712 GIRARD BLVD NE JEFFERSON MS
ALBUQUERQUE, NM 87106-2714
Phone number: 505-255-2334
Copy
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